| NPI | 1023381662 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NJ 25MB09684500) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NY 264358) |
| 208000000X Pediatrics (Licence: NJ 25MB09684500) | |
| Enumeration Date | 2012-02-13 |
| Last Update Date | 2024-04-26 |